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Authors: Hyundeok Joo, MD, MAS et al ASA Monitor September 2023, Vol. 87, 1–7. Durable, functionally impactful, and subjectively evident cognitive decline is a feared outcome of anesthesia and surgery, particularly for older adults (Br J Anaesth 2017;118:486-8). We need to look no further than Dr. Daniel Cole, a coauthor of this article and the editor […]
Read MoreAuthor: Mary Dale Peterson, MD, MHA, FACHE, FASA ASA Monitor September 2023, Vol. 87, 11. As a health care executive (HCE), I know first-hand the challenges nearly every hospital and health system faces in today’s constrained environment. While some of the issues may vary regionally, many institutions are having to do more with less due to […]
Read MoreAuthors: Dibash Kumar Das, PhD; Steven Shafer, MD, FASA ASA Monitor September 2023, Vol. 87, 1–4. Hosting the 95th Academy Awards, Jimmy Kimmel opened his monologue by saying, “Everybody looks so great! When I look around this room, I can’t help but wonder, ‘Is Ozempic right for me?’” Semaglutide (Ozempic, Wegovy, and Rybelsus) is blowing up social media […]
Read MoreAuthor: Alexander A. Hannenberg, MD ASA Monitor September 2023, Vol. 87, 1–4. For decades, patient monitoring with oximetry and capnography has been an ASA standard of care. It is linked with our specialty’s benchmark improvement in outcomes. Yet even now, these tools remain largely unavailable across low- and middle-income countries. Lifebox was founded in 2011 to […]
Read MoreASA Monitor September 2023, Vol. 87, 15–32. Men die from overdose at greater rates than women A new study, analyzing data from 2020–21, found that men are two to three times more likely to die from overdose in the United States than women. It has long been known that men abuse drugs at higher rates […]
Read MoreAuthors: Vincent Bargnes, III, MD et al ASA Monitor August 2023, Vol. 87, 24–26. Modifying the FAA’s “sterile cockpit” rule to anesthesia. Icons made by Flat Icon Design and Freepic from Flaticon.com. Long before the advent of cellular phones were the early days of powered flight, when fatal accidents were unfortunately routine. Improvement in air safety […]
Read MoreAuthors: Michael P. Eaton, MD, FASA; William A. Roberts, CRNA, MD, PhD ASA Monitor September 2023, Vol. 87, 22–23. Anesthesia staffing is driven by the complex interactions between regulations, insurances, reimbursements, local history, and, increasingly, the availability (or, more commonly, lack) of providers. The Centers for Medicare & Medicaid Services (CMS) regulation of hospital “conditions of participation” […]
Read MoreAUTHORS: Cooter Wright, Mary MS et al Anesthesia & Analgesia 134(1):p 149-158, January 2022. BACKGROUND: Some older adults show exaggerated responses to drugs that act on the brain. The brain’s response to anesthetic drugs is often measured clinically by processed electroencephalogram (EEG) indices. Thus, we developed a processed EEG–based measure of the brain’s resistance to volatile […]
Read MoreAuthors: Matthew C. Miller, MD, FACS et al ASA Monitor September 2023, Vol. 87, 24. Smaller hospitals often fear that “market share” will be devoured by larger organizations. Rural communities frequently fear that they will lose their local hospital altogether, which is often their largest employer. In reality, by fostering both higher volume and higher-acuity care […]
Read MoreAUTHORS: Susano, Maria J. MD Anesthesia & Analgesia 132(3):p 846-855, March 2021. BACKGROUND: Postoperative delirium is common among older patients and preoperative identification of high-risk patients is widely recommended. The aim of this study was to assess whether preoperative cognitive performance using brief screening tools or regional cerebral oxygen saturation (Scto2) was associated with the development […]
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